快速康复护理在老年髋部骨折患者绿色通道救治中的应用

目的：探讨老年髋部骨折患者绿色通道救治快速康复护理的实施效果。方法： 将2017年5月至12月66例纳入绿色通道救治的老年髋部骨折患者作为观察组，通过护士专职质控、构建护理路径、优化健康教育及术前准备质控形式等，实施快速康复护理。选取2016年5月至12月收治的60例实施常规护理的老年髋部骨折患者作为对照组。比较两组患者术前等待时间、住院时间、并发症发生率、患者满意度及髋关节评分。结果：观察组与对照组术前等待时间、住院时间、患者满意度及出院后3个月髋关节评分比较，差异有统计学意义（P＜0.05）,并发症发生率两组比较差异无统计学意义（P＞0.05）。结论：老年髋部骨折患者绿色通道救治快速康复护理可明显改善患者的临床结局指标，提升患者满意度。

The application of rapid rehabilitation nursing in green channel treatment of elderly patients with hip fracture

Objective: To investigate the effect of green channel on treatment of hip fracture in elderly patients.Methods: From May to December 2017, 66 elderly hip fracture patients who were included in the green channel treatment were observed as a group. The rapid rehabilitation care procedure including nurses’ full-time quality control, construction of nursing paths, optimization of health education, and preparation of quality control forms before surgery were implemented in observation group. The control group included 60 patients received routine care from May to December 2016. The preoperative waiting time, hospitalization time, complication rate, satisfaction and hip joint score were compared between two groups. Results: The differences of preoperative waiting time, hospitalization time, satisfaction and hip joint score at 3 months after discharge were statistically significant（P＜0.05）, but the incidence of complications was not（P＞0.05）. Conclusion: The treatment of hip fracture with green channel can improve the clinical outcome index and improve the satisfaction of patients.